SHIELDS LLC (NPI# 1104378439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104378439 |
| Entity Type | Organization |
| Organization Name | SHIELDS LLC |
| Other Organization Name | 406 CLINIC PHARMACY |
| Practice Address |
1315 Wyoming St Ste A Missoula MT 59801-1725 |
| Mailing Address |
4108 Lincoln Rd Missoula MT 59802-3046 |
| Practice Telephone | 4065448808 |
| Practice Fax Number | 4065410185 |
| Mailing Telephone | 4065414060 |
| Mailing Fax Number | 4065419699 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2018-03-11 |
| Authorized Official Name | ERIC SHIELDS (OWNER/ PIC) |
| Authorized Official Telephone | 4065414060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
42790 | MT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166083 | 01 |
| Other Name | Type Code |
|---|---|
| 406 Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215479365 | Shields LLC | Durable Medical Equipment & Medical Supplies | 1315 Wyoming St Ste B, Missoula, MT 59801-1725 | 2016-11-07 |
| Street Address |
1315 WYOMING ST STE A |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164587200 | Community Nursing Inc. | Pharmacy | 2651 South Ave W, Missoula, MT 59804-6405 | 2006-12-27 |
| 1265597207 | Hillside Health Care Center, LLC | Pharmacy | 4720 23rd Ave, Missoula, MT 59803-1137 | 2006-12-27 |
| 1609931641 | Riverside Health Care Center | Pharmacy | 1301 E Broadway St, Missoula, MT 59802-4905 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641069 | Glacier Pharmacy LLC | Pharmacy | 601 W Main St Ste 1a, Cut Bank, MT 59427-2832 | 2019-07-17 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1174945406 | Healthcare Providers-ltc | Pharmacy | 1900 N 1st St Ste B, Hamilton, MT 59840-3115 | 2014-01-06 |
| 1659504363 | Glacier Ridge Pharmacy Inc | Pharmacy | 6475 Us Highway 93 S, Whitefish, MT 59937-8282 | 2009-08-27 |
| 1205062098 | Glacier Ridge Pharmacy Inc | Pharmacy | 55 1st Avenue East N, Kalispell, MT 59901-4001 | 2009-06-07 |
| 1790804557 | Mt State Veterans Home Satelite Pharmacy | Pharmacy | 400 Veterans Road, Columbia Falls, MT 59912-0250 | 2007-03-29 |
| 1851424246 | Three Bears Alaska Inc | Pharmacy | 45 Three Bears Dr, Butte, MT 59701 | 2007-03-14 |
| 1164559746 | Pharmfill Inc | Pharmacy | 117 N Main St # A, Three Forks, MT 59752-9013 | 2007-02-28 |
| 1902942469 | Granite Cnty Med Hosp Phcy | Pharmacy | 310 Sansome St, Philipsburg, MT 59858-0729 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.